CMS Price Transparency Data

X-ray, pelvis

Facility: Ochsner St Anne General Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $95
Cash Discount Price: $135
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Ochsner St Anne General Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.89x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$135

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $135 (126%)

Insurance Median: $95 (89%)

Cash: $135 (126% of Medicare)

Ins. Median: $95 (89% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$73 - $94	68%
Medicaid / KanCare	$81	76%
Tricare	$85 - $95	80%
Humana	$92 - $95	86%
UnitedHealthcare	$92 - $245	86%
Healthy Blue (Healthy Louisiana)	$93	87%
Louisiana Healthcare Connections (Healthy Louisiana)	$93	87%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$94	88%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$95	89%
Blue Cross Blue Shield	$95 - $118	89%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$95	89%
Medicare (plans)	$95	89%
Ochsner Health Plan	$95	89%
Healthcomp & Personify Health (Formerly Gilsbar)	$230	215%
Louisiana Workers' Compensation Corporation (Lwcc)	$230	215%
Mississippi Physicians Care Network	$230	215%
Employers Health Network (Ehn)	$261	244%
First Health Network	$261	244%
Prime Health Services Ppo	$261	244%
Claritev D/B/A Multiplan/Phcs/American Life Care	$276	258%
Usa Managed Care Network	$276	258%
Zelis	$276	258%
Cigna	$294	275%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $135.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner St Anne General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.